Characteristics of antenatal care for adolescents from state capitals in Southern and Northeastern Brazil

Fernandes, Rita Fernanda Monteiro; Meincke, Sonia Maria Könzgen; Thumé, Elaine; Soares, Marilu Correa; Collet, Neusa; Carraro, Telma Elisa

doi:10.1590/0104-07072015001230012

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Original Article • Texto contexto - enferm. 24 (1) • Jan-Mar 2015 • https://doi.org/10.1590/0104-07072015001230012 linkcopy

Characteristics of antenatal care for adolescents from state capitals in Southern and Northeastern Brazil¹

Características del prenatal de adolescentes en capitales de las regiones Sur y Nordeste de Brasil

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstracts

Quantitative and descriptive study that intended to describe some aspects of antenatal care for adolescents at teaching hospitals in the South and Northeast of Brazil, based on the quality criteria established by the Humanization Program of Antenatal and Birth Care. This is an excerpt from the research "Social support networks for fatherhood during adolescence". The data collection occurred between December 2008 and December 2009. The sample consisted of 559 puerperal adolescents. The results showed that 98% of the interviewees received antenatal care, 67.2% attended six or more consultations and 62.5% started the care in the first pregnancy terms. As regards the routine exams, not all of them were done, and 41.8% denied having received any kind of information about labor and delivery during the antenatal consultations. In conclusion, most of the adolescents received antenatal care according to the criteria recommended in the Program. Nevertheless, educational actions and orientations are needed during the consultations.

Pregnancy in adolescence; Humanizing delivery; Nursing

Variable	Pelotas		Florianópolis		João Pessoa		Total
Variable	n	%	n	%	n	%	n	%
Age
10 to 14 years	9	5.0	9	3.1	5	5.8	23	4.1
15 to 19 years	172	95.0	283	96.9	81	94.2	536	95.9
Skin color
White	110	60.8	148	51.7	21	24.4	279	50.5
Non white	71	39.2	138	48.3	65	75.6	274	49.5
Marital status
Single	42	23.2	60	20.5	14	16.3	116	20.7
Married or with partner	139	76.8	231	79.1	71	82.5	441	78.9
Separated/widowed	-	-	1	0.4	1	1.2	2	0.4
Studies
Yes	35	19.3	87	29.8	24	27.9	146	26.1
No	146	80.7	205	70.2	62	72.1	413	73.9
Full years of education
Between 0 and 4 years	24	13.3	7	2.4	6	7.0	37	6.6
Between 5 and 8 years	114	63.0	164	56.2	46	53.5	324	58.0
≥ 9 years	43	23.7	121	41.4	34	39.5	198	35.4
Work
Yes	9	5.0	53	18.2	8	9.3	70	12.5
No	172	95.0	239	81.8	78	90.7	489	87.5
Main source of income of puerperal adolescent
Employment	3	1.7	42	14.4	07	8.2	52	9.3
Partner’s income	101	55.8	155	53.1	46	53.5	302	54.0
Family income	61	33.7	87	29.8	29	33.7	177	31.7
Alimony	11	6.1	6	2.0	2	2.3	19	3.4
Other income sources	5	2.7	2	0.7	2	2.3	9	1.6
Family income*
< 1 minimum wage	38	22.7	16	6.3	27	37.5	81	16.5
1 to 3 minimum wages	121	72.5	157	62.1	33	45.8	311	63.2
3.1 to 5 minimum wages	6	3.6	55	21.7	10	13.9	71	14.4

Variable	Pelotas		Florianópolis		João Pessoa		Total
Variable	n	%	n	%	n	%	n	%
Number of prenatal consultations
None	4	2.2	6	2.1	1	1.2	11	2
Between 1 and 5 consultations	42	23.2	107	36.6	23	26.7	172	31
6 or more consultations	135	74.6	179	61.3	62	72.1	376	67
Start of antenatal care
1^st term	96	58.2	174	61.3	64	75.3	334	63
2^nd term	60	36.4	94	33.1	17	20	171	32
3^rd term	9	5.4	16	5.6	4	4.7	29	5.5
Place of antenatal care*
Primary Care service	115	65	249	87.1	49	57.6	413	75
Hospital	60	33.9	26	9.1	43	50.6	129	24
Health insurance	4	2.3	3	1	-	-	7	1.3
Private	5	2.8	6	2.1	4	4.7	15	2.7
Other places	12	6.8	16	5.6	1	1.2	29	5.3

Variable	Pelotas		Florianópolis		João Pessoa		Total
Variable	n	%	n	%	n	%	n	%
Took tests during antenatal care
Yes	176	99.4	282	98.6	85	100.0	543	99.1
No	1	0.6	4	1.4	-	-	5	0.9
Test taken (n=543)
Urine type I	143	81.2	257	91.1	74	87.1	474	87.3
Anti-HIV	145	82.4	269	95.4	78	91.8	492	90.6
Glucose	143	81.2	251	89.0	72	84.7	466	85.8
Serology against syphilis (VDRL)	134	76.1	257	91.1	62	72.9	453	83.4
COOMBS	17	9.7	25	8.9	11	12.9	53	9.8
Toxoplasmosis	126	71.6	230	81.6	47	55.3	403	74.2
Complete blood count	144	81.8	263	93.3	76	89.4	483	88.9
Blood typing	136	77.3	254	90.1	75	88.2	465	85.6
Hepatitis B	137	77.8	236	83.7	56	65.9	429	79.0
Cytopathological cervix screening	37	21.0	76	26.9	29	34.1	142	26.1
Obstetric ultrasound	138	78.4	203	72.0	74	87.1	415	76.4
Others*	31	17.6	183	64.9	23	27.1	237	43.6
Received orientations about the tests requested
Yes	130	73.9	246	87.2	66	77.6	442	81.4
No	46	26.1	36	12.8	19	22.4	101	18.6

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Universidade Federal de Santa Catarina, Programa de Pós Graduação em Enfermagem Campus Universitário Trindade, 88040-970 Florianópolis - Santa Catarina - Brasil, Tel.: (55 48) 3721-4915 / (55 48) 3721-9043 - Florianópolis - SC - Brazil
E-mail: textoecontexto@contato.ufsc.br

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67 of all interviewees did not know the monthly family income.

Characteristics of antenatal care for adolescents from state capitals in Southern and Northeastern Brazil1

Características del prenatal de adolescentes en capitales de las regiones Sur y Nordeste de Brasil

Abstracts

Characteristics of antenatal care for adolescents from state capitals in Southern and Northeastern Brazil¹